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Individual

HELENA EZZELDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CNS, LDN

Contact information

Practice address
2 CARDINAL PARK DR. SE,, STE. 104A, LEESBURG, VA 20175
(571) 291-0693
Mailing address
11707 SUMMERCHASE CIR APT E, RESTON, VA 20194-1129
(571) 291-0693

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
133NN1002X
Nutrition Education Nutritionist
133V00000X
Registered Dietitian
Primary
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A65366598
CIGNA
VA
Enumeration date
06/25/2021
Last updated
06/28/2022
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